Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor's Case Report and Spatial Distribution of Cases in Presidente Prudente, Sao Paulo, Brazil

Autor(es)

Pereira, Sergio Munhoz ^[1] ; do Nascimento, Charlene Troiani ^[1] ; Ferro, Rodrigo Sala ^[1] ; Flores, Edilson Ferreira ^[2] ; Maldonado Bertacco, Elaine Aparecida ^[3] ; Fonseca, Elivelton da Silva ^[4] ; Prestes-Carneiro, Luiz Euribel ^[1]

Afiliação do(s) autor(es)

^[1] Oeste Paulista Univ, Reg Hosp Presidente Prudente, Dept Emergency, BR-19050920 Sao Paulo - Brazil

^[2] Sao Paulo State Univ, Sch Sci & Technol, Stat Dept, BR-19060900 Presidente Prudente - Brazil

^[3] Epidemiol Surveillance Serv, BR-19010081 Presidente Prudente - Brazil

^[4] Univ Fed Uberlandia, Inst Geog, Santa Mon Campus, BR-38408100 Uberlandia, MG - Brazil

• Tipo de documento: Artigo Científico
• Fonte: TROPICAL MEDICINE AND INFECTIOUS DISEASE; v. 6, n. 3 SEP 2021.
• Citações Web of Science: 0

Resumo

Co-epidemics of COVID-19 and dengue in dengue-endemic countries represent a serious public health concern. In Brazil, Sao Paulo state ranks first for cases and deaths from COVID-19, and dengue is endemic in most regions of the country. In 2020, an outbreak of dengue occurred in western Sao Paulo. We determined the spatiotemporal distribution of dengue in the context of COVID-19 cases in Presidente Prudente, a mid-sized city in western Sao Paulo. To illustrate the burden of both infections, a case report of a doctor and his family, infected with dengue and COVID-19, is presented. There were three clusters of dengue and COVID-19 in the periphery. A dengue cluster was found in a region where there were no corresponding COVID-19 cases. Meanwhile, there were COVID-19 clusters where dengue activity was lower. In 2020, the COVID-19 epidemic emerged when dengue reached its seasonal peak, resulting in a simultaneous outbreak of both diseases. Lower rates of dengue were found in the city compared with 2019, and the fear of patients with mild dengue symptoms about remaining in hospital and acquiring COVID-19 infection may be the main cause. Simultaneous spatial clusters of dengue and COVID-19 in environmentally and socioeconomically vulnerable areas can guide public health authorities in intensive interventions to improve clinical diagnosis, epidemiological surveillance, and management of both diseases. The patient and his family were first infected with dengue and he then carried COVID-19 to his family, reinforcing the risk of health care workers spreading the virus to the community. We highlight the epidemiological significance of presenting a case report and spatial analysis of COVID-19 in the same study in the context of a dengue outbreak. (AU)

• Processo FAPESP: 14/12494-0 - Disseminação do conhecimento geoepidemiológico, geoprocessamento e análise espacial para o desenvolvimento de políticas públicas para vigilância e controle das leishmanioses no Pontal do Paranapanema, estadoa de São Paulo, Brasil
• Beneficiário: Elivelton da Silva Fonseca
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Pós-Doutorado